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AIDS and Behavior
Erschienen in: AIDS and Behavior 6/2019

01.01.2019 | Original Paper

Syndemic Experiences, Protective Factors, and HIV Vulnerabilities Among Lesbian, Gay, Bisexual and Transgender Persons in Jamaica

verfasst von: Carmen H. Logie, Ying Wang, Natania Marcus, Kandasi Levermore, Nicolette Jones, Tyrone Ellis, Nicolette Bryan

Erschienen in: AIDS and Behavior | Ausgabe 6/2019

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Abstract

Syndemics approaches explore the convergence of psychosocial factors that elevate HIV vulnerabilities. Less research has explored syndemics among lesbian, gay, bisexual and transgender (LGBT) persons in contexts where criminalization has downstream impacts on LGBT discrimination, such as Jamaica. We implemented a cross-sectional survey with LGBT persons (n = 911) in Jamaica. We conducted structural equation modeling to examine direct and indirect effects of a latent syndemics construct (binge drinking, depressive symptoms, childhood/adult abuse) on HIV vulnerabilities (lifetime sex partners, perceived HIV risk, condom self-efficacy) and the mediating role of protective factors (social support, resilient coping). Direct paths from syndemics to lifetime sex partners, perceived HIV risk, and condom self-efficacy were significant. Resilient coping and social support partially mediated the association between syndemics and condom use self-efficacy. Resilient coping partially mediated the relationship between syndemics and lifetime sex partners. Interventions can target syndemic issues to reduce HIV vulnerabilities among Jamaican LGBT persons.
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Metadaten
Titel
Syndemic Experiences, Protective Factors, and HIV Vulnerabilities Among Lesbian, Gay, Bisexual and Transgender Persons in Jamaica
verfasst von
Carmen H. Logie
Ying Wang
Natania Marcus
Kandasi Levermore
Nicolette Jones
Tyrone Ellis
Nicolette Bryan
Publikationsdatum
01.01.2019
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 6/2019
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-018-2377-x

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